NPI | 1356628473 |
---|---|
Former Name | ROBIN E KOVATCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001361A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA1665) |
363AM0700X Physician Assistant, Medical (Licence: KY TC051) | |
Enumeration Date | 2011-11-03 |
Last Update Date | 2023-11-27 |